Ebenger, Martin
Ebenger, Martin is an individual health care provider with primary practice located at 15901 Bass Rd Suite 100, Fort Myers FL 33908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Ebenger, Martin can be contacted via phone (239) 343-6100.Contact Information
Primary practice address
15901 Bass Rd Suite 100
Fort Myers FL 33908
Phone: (239) 343-6100
Fax: (239) 343-9925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME0065358 | Florida |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ME006358 | Florida |
Profile Details
| NPI number | 1912994609 |
|---|---|
| LBN Legal business name | Ebenger, Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Mar 30th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912994609 | NPPES |
| Florida | MEDICAID | 376275100 |
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